Individual
SHIANN N RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1118 N GATEWAY AVE, ROCKWOOD, TN 37854-4012
(865) 444-4345
Mailing address
PO BOX 306244, NASHVILLE, TN 37230-6244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5849
TN
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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